Individual
MR. STUART MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
120 INDIAN LOOKOUT DR, LANDER, WY 82520-3057
(208) 871-0157
Mailing address
120 INDIAN LOOKOUT DR, LANDER, WY 82520-3057
(208) 871-0157
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16745
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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